Signing in at the hospital, the first operation shocked the whole country!

I TM!

As soon as the words fell, Jiang Yuan almost didn't scold his mother.

He shouldn't have come out tonight, and he's been hit twice in just a few minutes.

The number of places in the hospital is gone, and the brothers who share the adversity will also get rich and leave. Only Jiang Yuan's injured world has been achieved.

(?﹏?)......

Chapter 368 Village Committee Free Clinic

"By the way, Jiang Yuan, I have renewed the lease of our house for another year, so you should live in peace and get through the training period first."

Liu Xing continued to masturbate, rather grandiosely,

"Of course, if you want to find someone to share the rent with you, that's fine too. The rent will be treated as living expenses given to you by your brother."

"Then I have to thank you, a local tyrant, if I quit in the future, I will go to you."

Jiang Yuan couldn't laugh or cry, and the two had another drink.

You must know that interns trained under general regulations do not receive wages, and hospitals with a bit of humanity even give them some subsidies.

I heard from those students who were trained in Jinling and Gusu tertiary hospitals that not only did the hospitals not have subsidies, but they even had to pay for the hospitals themselves every month.

What teaching fees, consumables...

You know, surgery is an important place for surgery.

Most of the things taught in medical schools are theoretical, and the real medical skills are all trained in the hospital and practice.

After all, training and reality are not the same thing!

"what!"

"My God!"

"Go, go, go!"

"What's wrong with this man?"

......

Just as the two were feasting, suddenly there was a burst of exclamation and commotion from the windows on the second floor, and there seemed to be screams.

dong dong dong~

Immediately afterwards, there was a sound of hurried footsteps, and many people ran down from upstairs in a panic.

The diners sitting on the first floor and outside the door cast curious glances when they heard the movement.

Jiang Yuan and Liu Xing also raised their heads, is this another fight?

"Help! Help! Someone is dying!"

Before they could react, they saw a middle-aged woman about 40 rushing down from upstairs, shouting in panic.

Hearing this, Jiang Yuan and the two looked at each other, their expressions suddenly serious.

Subconsciously grabbed the phone, ran to the stairs like lightning, and went straight to the second floor.

problem occurs!

dong dong dong~

Jiang Yuan rushed up to the second floor first, the scene in front of him was a bit chaotic, and a group of people were forming a group not far away.

"Come on, let me go, I'm a doctor, let me go."

The two rushed out of the crowd and shouted loudly.

The identity and responsibilities of doctors prevent them from thinking.

Save people!

"Doctor? A doctor is coming!"

"Get out of the way, let the doctor in!"

"So young? Make way for others first."

Hearing the shout, the crowd dispersed in an instant, and their eyes turned to Jiang Yuan and Liu Xing who rushed over.

The two walked forward quickly, and saw a middle-aged man about 40 years old lying on the ground, with his hands strangling his neck tightly, his mouth wide open, trying to breathe desperately, his expression full of pain and fear.

The whole person was struggling and twisting like a twist, the whites of the eyes were turned up, and the complexion was purple, as if he would faint at any time.

"Gulu~his~gulu~his~......"

There was still a squeezed wheezing in the throat, but it was obvious that he couldn't suck in the air at all.

Kneeling next to him was a middle-aged man of similar age, who looked like a friend, and kept calling him nervously.

"Nanzi, Nanzi! Hold on! The ambulance is coming soon! Be sure to hold on!"

After speaking, he took a deep breath, then held the man's chin, and forced artificial respiration directly mouth to mouth.

After seeing Jiang Yuan and Liu Xing coming in, it was like looking at the savior.

"Doctor! Doctor, save him quickly!"

[Negative energy from Zhang Jianjun +66...]

"Okay, don't panic."

The two immediately squatted down to check the man's situation.

I saw red fingerprints left on his neck because of too much force, as if he wanted to tear his throat open.

Acute asphyxia, dyspnea, cyanosis, throat locked.

Jiang Yuan and Liu Xing looked at each other, and they quickly took off the man's shirt, one checked the lower part of the neck, the other checked the ribs and chest.

I saw obvious dimples appearing in three places, calming down, sunken, flattened, sunken with breathing...

The two raised their heads and said in a deep voice at the same time.

"Three Concave Signs!"

Three concave signs:

It refers to the obvious depression of the suprasternal fossa, supraclavicular fossa, and intercostal space during inhalation, which is due to inspiratory dyspnea caused by partial obstruction of the upper airway.

This is an important feature for judging sudden airway obstruction such as foreign bodies in the trachea and bronchi, acute laryngospasm, and acute laryngeal edema.

"What did he just eat? Was he stuck?"

Jiang Yuan asked immediately.

"No, no, it's not stuck, how could it get stuck while drinking?" The man kneeling next to him shook his head repeatedly.

"Then when did he appear wrong, tell me about the situation."

"We just drank some wine and ate some skewers and seafood. About an hour ago, he said that his throat was a little sore, he was not feeling well and took medicine, and then he suddenly couldn't breathe."

"Medicine? What kind of medicine did you take?"

Hearing this, Jiang Yuan asked immediately.

"Doctor, it's penicillin. My husband has tonsillitis, so he will prepare the medicine."

The two of them heard the reputation and saw that it was the middle-aged woman who had just come downstairs and shouted. She was full of panic and impatience.

"Doctor, what happened to my husband? Hurry up and save him!"

"Have you called an ambulance?"

"Already called."

The woman nodded again and again, and the two felt a little more stable.

[Negative energy from Liu Guihua +199...]

The nearest hospital is the Municipal First Hospital, and it takes about 10-15 minutes by car.

Counting the removal of traffic lights and speeding, it takes about 8-10 minutes to arrive.

What they have to do now is to determine the symptoms and conditions, provide rescue on the spot, and try their best to ensure the safety of the patient's life before the arrival of the ambulance.

"Jiang Yuan, I judge that it may be acute laryngeal obstruction, and the condition is very serious."

Liu Xing forcefully opened the man's mouth to examine it, with a dignified expression, and said in a low voice.

Jiang Yuan nodded slightly when he heard the words. He also had a simple physical examination just now. The patient's carotid artery was obviously weakened and his heartbeat was completely disordered.

Coupled with the obvious three-concave sign, his complexion was cyanotic and his throat was locked.

Moreover, the man himself has tonsillitis, which is most likely due to laryngeal obstruction!

Laryngeal obstruction can be divided into four degrees according to the severity of the disease,

One degree: mild inspiratory difficulty;

Second degree: Dyspnea is obviously aggravated, but it will not affect normal life;

Third degree: Obvious dyspnea during inspiratory phase, with three concave phenomena and hypoxic symptoms;

Fourth degree: extremely difficult to breathe, pale or cyanotic, weak pulse, arrhythmia, blood pressure drop.

Once it reaches the third degree, it will go to the hospital for treatment, and the fourth degree is likely to die due to suffocation and heart failure.

The man's current appearance is completely consistent with fourth-degree laryngeal obstruction, and first aid must be given immediately. Once severe suffocation occurs, the patient will suffer from respiratory failure within 2-3 minutes, causing irreversible brain damage.

Extremely deadly!

Now, the most effective way is to open the airway so that the patient can breathe.

"I have to find a way to do the puncture, otherwise I'm afraid the ambulance won't be able to come."

Jiang Yuan frowned, this is the best first aid method to deal with laryngeal obstruction.

"Who has a syringe? Go find a syringe!"

Hearing this, Liu Xing immediately stood up and shouted loudly.

The people around looked at each other in blank dismay.

syringe?

Who has that thing?

After Liu Xing finished speaking, he also realized that ordinary pharmacies did not sell syringes at all, and there was only one place where they could be found.

Clinic!

"Does anyone know if there is a clinic near here?"

"I know! There is a clinic next to the gate of the community."

As soon as the words fell, a young man in the crowd quickly raised his hand and said.

"Hurry up and buy a syringe of the largest size, it's important to save lives!"

"I go!"

As soon as Liu Xing finished speaking, the man kneeling on the ground got up like lightning, dragged the young man and rushed downstairs.

Jiang Yuan, who was squatting on the ground, looked solemn, watching the painful expression of the man suffocating, his body was extremely stiff due to excessive force, only the whites of his eyes remained, and his consciousness was on the verge of fainting.

No!

That's too late!

He knew that clinic, not to mention running, even cycling would take two to three minutes.

Thinking of this, Jiang Yuan stared at the four-heart cross symbol in his mind, and the main interface appeared.

He clicked on the shopping store and looked at the only medical equipment that was lit.

'How to buy? '

【Ding!If you need to buy, please click on the corresponding option, and silently recite the required items. 】

Just when Jiang Yuan was wondering how to operate it, a reminder appeared in his mind.

Without the slightest hesitation, he clicked on [Medical Equipment] and silently said '16-gauge needle syringe'.